Organization Active NPI

Third Ward Chiropractic SC

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1285818625
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2797 Issued in WI
Legal business name
THIRD WARD CHIROPRACTIC SC
Practice address
150 N. Jefferson St.
Milwaukee, WI 53202-6110
Phone
(414) 271-1717
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James C Neuber, D.C.
Title
Chiropractor
Phone
(262) 363-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2797 WI Primary

Addresses

Primary practice location

150 N. Jefferson St.
Milwaukee, WI 53202-6110

Mailing address

150 N Jefferson St
Milwaukee, WI 53202-6110
Phone (414) 271-1717

Other identifiers 1

IdentifierTypeStateIssuer
70776OtherWIMEDICARE

National Provider Directory

National Provider Directory

Locations

225 Bay View Rd
Ste 400
Mukwonago, WI 53149
Phone (262) 363-7545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1285818625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N JEFFERSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026110",
            "telephone_number": "414-271-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N. JEFFERSON ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026110",
            "telephone_number": "414-271-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD WARD CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "NEUBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-363-7545",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "70776",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.